Tornado Alley (PROG)

[fuagf]

Continued: Birthright citizenship EO jeopardizes insurance coverage

One new executive order .. https://www.whitehouse.gov/presidential-actions/2025/01/protecting-the-meaning-and-value-of-american-citizenship/ .. would upend birthright citizenship in the country under an argument that the Constitution has previously misinterpreted the issue.

The executive order was always destined to set the stage for a legal showdown. The ACLU is suing .. https://assets.bwbx.io/documents/users/iqjWHBFdfxIU/rknVkWOrbWsU/v0 .. the Trump administration, saying birthright citizenship is guaranteed under the 14th Amendment. State attorneys general from 24 states across two .. https://storage.courtlistener.com/recap/gov.uscourts.wawd.343943/gov.uscourts.wawd.343943.1.0.pdf (PDF) separate lawsuits .. https://storage.courtlistener.com/recap/gov.uscourts.mad.279895/gov.uscourts.mad.279895.1.0_1.pdf (PDF) also sued the Trump administration Tuesday. One lawsuit from Democratic attorneys general ask for injunctive relief against the order.

Adults and children who would have their citizenship revoked under this order will find it more difficult to obtain insurance from public programs, likely leading to greater levels of uninsurance and unintended consequences on the healthcare system, reported .. https://www.kff.org/racial-equity-and-health-policy/issue-brief/children-of-immigrants-key-facts-on-health-coverage-and-care/ .. KFF.

HHS' reproductive care website goes dark

[Insert: Trump said he would govern for all Americans... ]

On the day of the Dobbs ruling overturning Roe v. Wade, the HHS set up ReproductiveRights.gov. The site provided resources on reproductive rights and access to healthcare. It included information for patients and providers, information about family planning services and guidance on how to file a patient privacy or nondiscrimination complaint with the Office of Civil Rights.

As of Tuesday morning, that website no longer exists, suggesting the Trump administration will take a different stance than its predecessor on legal battles and other issues pertaining to women's reproductive health.

The Department of Justice also launched a similar webpage of resources, including on its work to protect reproductive rights under federal law. That page is still live. Its resource booklet for providers is also still live.

Related
Federal judge permits states to resurrect battle over abortion drug clearance
https://www.fiercehealthcare.com/regulatory/federal-judge-permits-states-resurrect-battle-over-abortion-drug-clearance

US leaves Paris climate deal, again

[Socially irresponsible to the nth degree. Who cares about
the rest of the world, it's American fossil fuel companies first. ]

In an executive order, Trump pulled out of the Paris climate agreement for a second .. https://apnews.com/article/id-0cafd1e56b124f5b9cf17ace7031d6d0 .. time.

The move, which will become official in one year, makes the U.S. only one of four countries not .. https://www.nytimes.com/2025/01/20/climate/trump-paris-agreement-climate.html .. participating. The legally binding international treaty .. https://unfccc.int/process-and-meetings/the-paris-agreement , negotiated at the 2015 UN Climate Change Conference, aims to keep global temperatures from rising past a certain threshold. Scientists have found that crossing a 1.5°C threshold risks severe climate change impacts.

The agreement allows countries to provide targets to cut their greenhouse gas emissions. However, most experts agree .. https://www.cfr.org/backgrounder/paris-global-climate-change-agreements .. that the members’ pledges are not enough to limit global temperature rise to 1.5°C. That said, if all members follow through with their net-zero targets, warming could be limited to 1.8°C.

Related
Breathing better: Hospitals begin to phase out major pollutants in patient care
https://www.fiercehealthcare.com/hospitals/breathing-better-hospitals-phase-out-major-pollutants-patient-care

“Walking away from the Paris Agreement won’t protect Americans from climate impacts, but it will hand China and the European Union a competitive edge in the booming clean energy economy and lead to fewer opportunities for American workers,” Ani Dasgupta, president and CEO of the World Resources Institute, said in a statement .. https://www.wri.org/statement-paris-agreement-withdrawal-erodes-americas-standing-world .

In a separate executive order, Trump rescinded the Climate Change Support Office, established by Biden in 2021. He also rescinded Biden-era orders directing agencies to review and revise .. https://www.federalregister.gov/documents/2021/01/25/2021-01765/protecting-public-health-and-the-environment-and-restoring-science-to-tackle-the-climate-crisis .. any regulations or policies that conflict with protecting the environment and committing to advancing .. https://www.federalregister.gov/documents/2023/04/26/2023-08955/revitalizing-our-nations-commitment-to-environmental-justice-for-all .. environmental justice.

New personnel appointments

Dorothy Fink, M.D., an endocrinologist who has spent much of her career working on women’s health issues .. https://womenshealth.gov/about-us/who-we-are/leadership/dr-dorothy-fink .. within the HHS, has been appointed by Trump to serve as acting HHS secretary until the permanent Senate confirmation process is completed.

RFK Jr. is expected to assume the position, though it’s uncertain whether he will receive the required votes. Sen. Elizabeth Warren, D-Massachusetts, has already sent an extensive list .. https://www.warren.senate.gov/imo/media/doc/warren_letter_to_rfk_jr.pdf .. (PDF) of questions to RFK Jr. ahead of his hearing related to his stances on vaccines, reproductive rights, drug pricing, food regulation and more.

Health investment firm Rubicon Founders principal Abe Sutton is expected to be tasked as CMS Innovation Center head, and former Collective Medical CEO Chris Klomp will be named president of the Center of Medicare, reported multiple media outlets. Both Sutton and Klomp would work underneath Mehmet Oz, M.D., who was nominated as CMS administrator.

[“A New Despotism”
https://investorshub.advfn.com/boards/read_msg.aspx?message_id=175438010]

Theo Merkel, a director within the Paragon Health Institute, and Heidi Overton, M.D., chief policy officer for the America First Policy Institute and a Johns Hopkins-trained physician, were named to Trump’s domestic policy council staff.

Other revoked executive orders

* “Executive Order on Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence,” a sweeping directive .. https://www.fiercehealthcare.com/ai-and-machine-learning/biden-sign-sweeping-executive-order-pursuing-safe-secure-and-trustworthy-ai .. outlining the federal government’s stance on “responsible” AI. The order sought to establish practices across multiple agencies, including the HHS, such as safety testing prior to public release, algorithm bias, nondiscrimination, safeguards on the use of individuals’ data during large-scale model training and mitigation of automation’s impact on workforces. The order’s guidelines and principles laid out a road map for the strategic plan on AI released by the HHS on Jan. 10 .. https://www.fiercehealthcare.com/regulatory/hhs-new-ai-strategic-plan-promises-increased-guidance-and-funding . Read more here .. https://www.fiercebiotech.com/medtech/trump-cancels-biden-executive-order-ai-safety .

* “Strengthening Medicaid and the Affordable Care Act” and “Continuing To Strengthen Americans' Access to Affordable, Quality Health Coverage” broadly instructed agency heads to review their existing policies for any practices that would reduce Affordable Care Act protections, coverage and enrollment. The latter order expanded those goals to address program costs, protections against "low-quality coverage" and medical debt burden reduction, among other goals.

* "Organizing and Mobilizing the United States Government To Provide a Unified and Effective Response To Combat COVID-19 and To Provide United States Leadership on Global Health and Security," "Ensuring an Equitable Pandemic Response and Recovery," "Improving and Expanding Access to Care and Treatments for COVID-19," "Establishing the COVID-19 Pandemic Testing Board and Ensuring a Sustainable Public Health Workforce for COVID-19 and Other Biological Threats," "Protecting Worker Health and Safety," "Moving Beyond COVID-19 Vaccination Requirements for Federal Workers"—a slew of executive orders guiding strategies and policies related to the COVID-19 pandemic. Many sections within the orders, such as those related to workforce vaccination requirements, had effectively run their course. Others instructed federal agencies to enact policies providing lasting support for provider organizations caring for those affected by the disease, supporting development of new COVID-19 therapeutics or supporting other clinical research studying the long-term impact of COVID-19 on patients' health.

Related
JPM25: First Lady Jill Biden committed to improving women's health as White House tenure winds down
https://www.fiercehealthcare.com/regulatory/jpm25-first-lady-jill-biden-committed-improving-womens-health-white-house-tenure-winds

The end -- https://www.fiercehealthcare.com/regulatory/what-trumps-first-day-orders-mean-healthcare-ditched-drug-models-pauses-rules-and-hiring